0001891363-21-000001.txt : 20211102 0001891363-21-000001.hdr.sgml : 20211102 20211101190614 ACCESSION NUMBER: 0001891363-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211102 DATE AS OF CHANGE: 20211101 EFFECTIVENESS DATE: 20211102 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Enable Dental Inc. CENTRAL INDEX KEY: 0001891363 IRS NUMBER: 384023002 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-419424 FILM NUMBER: 211368723 BUSINESS ADDRESS: STREET 1: 5555 N. LAMAR BOULEVARD STREET 2: SUITE H125 CITY: AUSTIN STATE: TX ZIP: 78751 BUSINESS PHONE: (605) 212-9157 MAIL ADDRESS: STREET 1: 5555 N. LAMAR BOULEVARD STREET 2: SUITE H125 CITY: AUSTIN STATE: TX ZIP: 78751 D 1 primary_doc.xml X0708 D LIVE 0001891363 Enable Dental Inc. 5555 N. LAMAR BOULEVARD SUITE H125 AUSTIN TX TEXAS 78751 (605) 212-9157 DELAWARE None None Corporation true 2016 Paul Langley 5555 N. Lamar Boulevard Suite H125 Austin TX TEXAS 78751 Executive Officer Director President and Director Benjamin Tiggelaar 5555 N. Lamar Boulevard Suite H125 Austin TX TEXAS 78751 Executive Officer Director Secretary and Director Kirill Zaydenman 5555 N. Lamar Boulevard Suite H125 Austin TX TEXAS 78751 Director Matthew King 5555 N. Lamar Boulevard Suite H125 Austin TX TEXAS 78751 Director Nathan Suter 5555 N. Lamar Boulevard Suite H125 Austin TX TEXAS 78751 Director Other Health Care Decline to Disclose 06b false 2021-10-21 false true false 0 3690110 3690110 0 false 6 0 0 0 false Enable Dental Inc. /s/Radney Wood Radney Wood Attorney-in-fact for Enable Dental Inc. 2021-11-01